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ASSESSING CORE COMPETENCIES OF SENIOR NURSING STUDENTS AND FACULTY AS INPUT TO COMPETENCY-BASED EDUCATION Josefina A. Tuazon, RN, MN, DrPH Mary Joan Therese C. Valera, RN, MPH UNIVERSITY OF THE PHILIPPINES MANILA
In partnership with GLOBAL NURSING NETWORK Developer of Nurse MetriX Through a grant from the PHILIPPINE DEPARTMENT OF HEALTH
Increase in Phil Nursing Programs
Surge in No. of Nursing Students
Decline in Nurse Licensure Pass Rates Source: Acacio, K. (2007). Producing the World Class Nurse: The Philippine System of Nursing Education and Supply
AIM OF THE STUDY Assess core knowledge and skill competencies of senior nursing students using a Filipino-adapted NurseMetriX competency assessment test as input to the BSN curriculum
OBJECTIVES 1. Assess and correlate core skills and knowledge of senior students and faculty, and identify gaps in competencies, if any 2. Analyze results in relation to current BSN curriculum and recommend policy directions
NurseMetriX Competency Assessment Test Developed by a panel of expert nurses from Global Nursing Network (GNN), mostly used in US Provides appraisal and insight to nurses regarding their clinical competency, core nursing values and professional progression Toolkit is entirely web-based Pre-tested and adapted for Filipino Nurses
NurseMetriX Tool PRETEST answering NurseMetrix FGD
Competencies Assessed in NMX CORE NURSING SKILLS 1. Clinical assessment 2. Technical skills KNOWLEDGE 1. Care management 2. Clinical reasoning MEDICATION ADMIN SKILLS 1. Metric conversion 2. Fluid dosage 3. IV Flow Rate 4. Tablet calculation KNOWLEDGE 1. Basic Pharmacology 2. Medication administration 3. Medication interaction
METHODOLOGY Descriptive correlational study Randomly selected Metro Manila schools stratified by average Nurse Licensure pass rate (outstanding, high, averageperforming), senior students and faculty Clinical faculty who were regular employees of the school, fulltime and parttime Consent obtained
SCHOOL CATEGORY Highperforming ( n = 5 ) STUDY SAMPLE STUDENTS (No.) FACULTY (No.) TOTAL (No.) 253 35 288 Outstanding ( n = 2 ) 123 24 147 Average- Performing ( n = 5 ) TOTAL 373 107 480 749 (81.86%) 166 (18.14%) 915
RESULTS: STUDENT and FACULTY COMPETENCIES
NMX Scores of Students and Faculty - 1 CORE NURSING STUDENTS FACULTY Overall Core Nursing 55% 66% 1. Skill 59% 72% Clinical Assessment 59% 70% Technical Skill 61% 76% 2. Knowledge 51% 61% Care Management 50% 65% Clinical Reasoning 52% 58%
Overall 57% 64% 1. Skill 60% 67% Fluid Dosage 62% 72% IV Flow Rate 44% 47% Metric Conversions 67% 74% Tablet Calculations 66% 71% 2. Knowledge 53% 61% Basic Pharmacology 43% 53% Medication Administration 69% 75% Medication Interaction 50% 56% NMX Scores of Students and Faculty - 2 MED ADMIN STUDENT FACULTY
Correlation of Skills and Knowledge Core Nursing Knowledge Vs Core Nursing Skills Med Admin Knowledge Vs Med Admin Skill Student r= 0.8415 (p=0.0006) r= 0.7620 (p=0.0040) Faculty r= 0.2816 (p=0.3752) r=-0.1110 (p=0.7313)
RESULTS STUDENT and FACULTY PERFORMANCE based on SCHOOL CATEGORY (ave NLE Pass Rate)
Students Mean NMX Scores in Various Competency Domains per School Category
Faculty - Mean NMX Scores in Various Competency Domains per School Category
Outstanding Schools, p = 0.310 (parallel) High-performing Schools, p = 0.057 (parallel) Average-performing Schools, p < 0.001 (not parallel)
IMPLICATIONS 1. Curricular implications 2. Faculty recruitment, trainining & development, monitoring and performance evaluation 3. Student admission policies and regulation of enrollment size 4. Potential negative impact of global demand on quality of nursing education
IMPLICATIONS: Admission Policies, Enrollment Size 1. Although findings not conclusive because of limited no. of schools in study, there is a trend that shows lower performance as enrollment size increases 2. With larger student enrollment, there is more need for faculty, school facilities and clinical areas for RLE for adequate achievement of competencies